| B. Beth Cohen, Ph.d. | |
|
118 N Tioga St Suite 401 Ithaca NY 14850-4354 | |
| (607) 319-5778 | |
| (607) 319-5779 |
| Full Name | B. Beth Cohen, Ph.d. |
|---|---|
| Speciality | Clinic/Center |
| Location | 118 N Tioga St, Ithaca, New York |
| Authorized Official Name and Position | Barbara Beth Cohen (OWNER) |
| Authorized Official Contact | 6073195778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B. Beth Cohen, Ph.d. 118 N Tioga St Suite 401 Ithaca NY 14850-4354 Ph: (607) 319-5778 | B. Beth Cohen, Ph.d. 118 N Tioga St Suite 401 Ithaca NY 14850-4354 Ph: (607) 319-5778 |
| NPI Number | 1952782898 |
|---|---|
| Provider Enumeration Date | 06/16/2015 |
| Last Update Date | 07/10/2015 |
| Medicare PECOS PAC ID | 5193027654 |
|---|---|
| Medicare Enrollment ID | O20151230001754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952782898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 015622-1 (New York) | Primary |
| Provider Name | Barbara B Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730367566 PECOS PAC ID: 3678647831 Enrollment ID: I20080806000175 |
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